Individual provider Active NPI

Nino Mark Uy, PT

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1932928298
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32962 Issued in FL
Practice address
4745 Four Lakes Cir SW FL 32960
Vero Beach, FL 32968-4802
Phone
(863) 634-3023
NPI assigned
Oct 4, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32962 FL Primary

Addresses

Primary practice location

4745 Four Lakes Cir SW FL 32960
Vero Beach, FL 32968-4802

Mailing address

8167 NW Greenbank Cir
Port St Lucie, FL 34987-3044
Phone (777) 666-1116

Other practice location 1

8167 NW Greenbank Cir
Port St Lucie, FL 34987-3044
Phone (777) 666-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018001835 FL Practitioner - Physical Therapist in Private Practice 6305378050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians
Vitality Rehab Services LLCGroup PAC ID 8527411941, 5 clinicians

Practice addresses (Care Compare)

Miami, FL 33179
Phone (786) 770-9480

Punta Gorda, FL 33982
Phone (772) 365-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Vitality Rehab Services LLC Physical Therapist CurrentSince Oct 9, 2024 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1932928298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 NW GREENBANK CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349873044",
            "telephone_number": "777-666-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 FOUR LAKES CIR SW FL 32960",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684802",
            "telephone_number": "863-634-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8167 NW Greenbank Cir",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349873044",
            "country_code": "US",
            "telephone_number": "777-666-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UY",
        "first_name": "NINO",
        "middle_name": "MARK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.